Guide d'implémentation FHIR - Mesures de santé, published by ANS. This guide is not an authorized publication; it is the continuous build for version 3.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ansforge/IG-fhir-mesures-de-sante/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
• Mappings
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• XML
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Resource Profile: Glycémie

Profil de la ressource Observation pour définir une Glycémie

Ce profil permet de gérer 4 types d’indicateurs de glycémie:

• le taux de glucose sanguin, mesuré en mg/dl
• le taux de glucose interstitiel, mesuré en mg/dl
• l’hémoglobine glyquée (Hb1Ac) mesurée en %
• l’index de gestion de glycémie (IGG) qui procure une estimation de l’HbA1c également mesuré en %

L’extension MesNumberOfDays permet de spécifier le nombre de jours dans la mesure du taux de glucose interstitiel et de l’index de gestion de glycémie (IGG) .

L’extension MesMomentOfMeasurement (contexte de la mesure) est utilisée dans le cas de la mesure du glucose sanguin.

Usage:

• Use this Resource Profile: Bundle d'alimentation
• Examples for this Resource Profile: Observation/ExampleMesObservationGlucose001

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from observation-vitalsigns

Nom	Drapeaux	Card.	Type	Description et contraintes
Observation			observation-vitalsigns
meta
source		0..1	uri	Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’un oid : « urn:oid:xx.xx.xx »
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
extension:MesReasonForMeasurement		0..1	string	Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesMomentOfMeasurement		0..1	(Complex)	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
value[x]		0..1	CodeableConcept	Value of extension Binding: JDV_J157-MomentGlucose-ENS (required)
extension:MesNumberOfDays		0..1	CodeableConcept	Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required)
Slices pour category				Content/Rules for all slices
category:VSCat		1..1	CodeableConcept	Classification of type of observation
coding
display		0..1	string	Representation defined by the system Required Pattern: vital-signs
code		1..1	CodeableConcept	Types de glycémie: • Glucose sanguin • Glucose interstitiel • Hémoglobine glyquée (HbA1c) • Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
subject		1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
encounter		0..1	Reference(FR Core Encounter Profile)	Healthcare event during which this observation is made
effective[x]		1..1	dateTime	Often just a dateTime for Vital Signs
performer		0..*	Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile)	Who is responsible for the observation
value[x]		0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
value		0..1	decimal	Valeur mesurée
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
dataAbsentReason
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
method	S	0..1	CodeableConcept	How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible)
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire
Documentation for this format

Terminology Bindings (Differential)

Path	Conformité	ValueSet	URI
Observation.extension:MesMomentOfMeasurement.value[x]	required	JDV_J157-MomentGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS
Observation.code	extensible	JDV_J154-TypeGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS
Observation.value[x].code	required	JDV_J163-GlucoseUnits-ENS https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
Observation.method	extensible	MethodeGlucoseVS https://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vs from this IG

Nom	Drapeaux	Card.	Type	Description et contraintes
Observation	C	0..*	observation-vitalsigns	FHIR Vital Signs Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:supportingInfo		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:MesReasonForMeasurement		0..1	string	Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:MesMomentOfMeasurement		0..1	(Complex)	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement"
value[x]		0..1	CodeableConcept	Value of extension Binding: JDV_J157-MomentGlucose-ENS (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	0..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
extension:MesNumberOfDays		0..1	CodeableConcept	Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required) ele-1: All FHIR elements must have a @value or children
Slices pour category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: vital-signs
display	Σ	0..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children Required Pattern: vital-signs
code	SΣ	1..1	CodeableConcept	Types de glycémie: • Glucose sanguin • Glucose interstitiel • Hémoglobine glyquée (HbA1c) • Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(FR Core Encounter Profile)	Healthcare event during which this observation is made ele-1: All FHIR elements must have a @value or children
effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs ele-1: All FHIR elements must have a @value or children vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
performer	Σ	0..*	Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. ele-1: All FHIR elements must have a @value or children
value	Σ	0..1	decimal	Valeur mesurée ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS ele-1: All FHIR elements must have a @value or children
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
method	S	0..1	CodeableConcept	How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible) ele-1: All FHIR elements must have a @value or children
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire ele-1: All FHIR elements must have a @value or children
component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. ele-1: All FHIR elements must have a @value or children vs-3: If there is no a value a data absent reason must be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet	URI
Observation.extension:MesMomentOfMeasurement.value[x]	required	JDV_J157-MomentGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	JDV_J154-TypeGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.value[x].code	required	JDV_J163-GlucoseUnits-ENS https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.method	extensible	MethodeGlucoseVS https://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vs from this IG
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	extensible	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Détails	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Nom	Drapeaux	Card.	Type	Description et contraintes
Observation	C	0..*	observation-vitalsigns	FHIR Vital Signs Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’un oid : « urn:oid:xx.xx.xx »
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
extension:MesReasonForMeasurement		0..1	string	Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesMomentOfMeasurement		0..1	(Complex)	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement"
value[x]		0..1	CodeableConcept	Value of extension Binding: JDV_J157-MomentGlucose-ENS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:MesNumberOfDays		0..1	CodeableConcept	Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices pour category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display	Σ	0..1	string	Representation defined by the system Required Pattern: vital-signs
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Types de glycémie: • Glucose sanguin • Glucose interstitiel • Hémoglobine glyquée (HbA1c) • Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(FR Core Encounter Profile)	Healthcare event during which this observation is made
effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile)	Who is responsible for the observation
value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Valeur mesurée
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible)
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet	URI
Observation.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Observation.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Bindings Additionnels But AllLanguages Binding Max
Observation.extension:MesMomentOfMeasurement.value[x]	required	JDV_J157-MomentGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	JDV_J154-TypeGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.value[x].code	required	JDV_J163-GlucoseUnits-ENS https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	MethodeGlucoseVS https://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vs from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	extensible	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Détails	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

This structure is derived from observation-vitalsigns

Résumé

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• FR Core Encounter Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter)
• FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner)
• FR Core Organization Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization)
• PhdDevice (http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days

Differential View

This structure is derived from observation-vitalsigns

Nom	Drapeaux	Card.	Type	Description et contraintes
Observation			observation-vitalsigns
meta
source		0..1	uri	Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’un oid : « urn:oid:xx.xx.xx »
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
extension:MesReasonForMeasurement		0..1	string	Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesMomentOfMeasurement		0..1	(Complex)	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
value[x]		0..1	CodeableConcept	Value of extension Binding: JDV_J157-MomentGlucose-ENS (required)
extension:MesNumberOfDays		0..1	CodeableConcept	Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required)
Slices pour category				Content/Rules for all slices
category:VSCat		1..1	CodeableConcept	Classification of type of observation
coding
display		0..1	string	Representation defined by the system Required Pattern: vital-signs
code		1..1	CodeableConcept	Types de glycémie: • Glucose sanguin • Glucose interstitiel • Hémoglobine glyquée (HbA1c) • Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
subject		1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
encounter		0..1	Reference(FR Core Encounter Profile)	Healthcare event during which this observation is made
effective[x]		1..1	dateTime	Often just a dateTime for Vital Signs
performer		0..*	Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile)	Who is responsible for the observation
value[x]		0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
value		0..1	decimal	Valeur mesurée
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
dataAbsentReason
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
method	S	0..1	CodeableConcept	How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible)
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire
Documentation for this format

Terminology Bindings (Differential)

Path	Conformité	ValueSet	URI
Observation.extension:MesMomentOfMeasurement.value[x]	required	JDV_J157-MomentGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS
Observation.code	extensible	JDV_J154-TypeGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS
Observation.value[x].code	required	JDV_J163-GlucoseUnits-ENS https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
Observation.method	extensible	MethodeGlucoseVS https://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vs from this IG

Key Elements View

Nom	Drapeaux	Card.	Type	Description et contraintes
Observation	C	0..*	observation-vitalsigns	FHIR Vital Signs Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:supportingInfo		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:MesReasonForMeasurement		0..1	string	Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:MesMomentOfMeasurement		0..1	(Complex)	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement"
value[x]		0..1	CodeableConcept	Value of extension Binding: JDV_J157-MomentGlucose-ENS (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	0..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
extension:MesNumberOfDays		0..1	CodeableConcept	Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required) ele-1: All FHIR elements must have a @value or children
Slices pour category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: vital-signs
display	Σ	0..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children Required Pattern: vital-signs
code	SΣ	1..1	CodeableConcept	Types de glycémie: • Glucose sanguin • Glucose interstitiel • Hémoglobine glyquée (HbA1c) • Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(FR Core Encounter Profile)	Healthcare event during which this observation is made ele-1: All FHIR elements must have a @value or children
effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs ele-1: All FHIR elements must have a @value or children vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
performer	Σ	0..*	Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile)	Who is responsible for the observation ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. ele-1: All FHIR elements must have a @value or children
value	Σ	0..1	decimal	Valeur mesurée ele-1: All FHIR elements must have a @value or children
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children
system	ΣC	1..1	uri	System that defines coded unit form ele-1: All FHIR elements must have a @value or children Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS ele-1: All FHIR elements must have a @value or children
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
method	S	0..1	CodeableConcept	How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible) ele-1: All FHIR elements must have a @value or children
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire ele-1: All FHIR elements must have a @value or children
component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. ele-1: All FHIR elements must have a @value or children vs-3: If there is no a value a data absent reason must be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet	URI
Observation.extension:MesMomentOfMeasurement.value[x]	required	JDV_J157-MomentGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	JDV_J154-TypeGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.value[x].code	required	JDV_J163-GlucoseUnits-ENS https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.method	extensible	MethodeGlucoseVS https://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vs from this IG
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	extensible	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Détails	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Snapshot View

Nom	Drapeaux	Card.	Type	Description et contraintes
Observation	C	0..*	observation-vitalsigns	FHIR Vital Signs Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Uri identifiant les systèmes tiers ayant envoyé la ressource. L’uri est sous la forme d’un oid : « urn:oid:xx.xx.xx »
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices pour extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:supportingInfo		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
extension:MesReasonForMeasurement		0..1	string	Motif de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
extension:MesMomentOfMeasurement		0..1	(Complex)	Moment de la mesure URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement"
value[x]		0..1	CodeableConcept	Value of extension Binding: JDV_J157-MomentGlucose-ENS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
extension:MesNumberOfDays		0..1	CodeableConcept	Nombre de jours URL: https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days Binding: JDV_J164-GlucoseNumberOfDays-ENS (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices pour category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
display	Σ	0..1	string	Representation defined by the system Required Pattern: vital-signs
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Types de glycémie: • Glucose sanguin • Glucose interstitiel • Hémoglobine glyquée (HbA1c) • Index de gestion de glycémie (IGG) Binding: JDV_J154-TypeGlucose-ENS (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(FR Core Patient Profile)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(FR Core Encounter Profile)	Healthcare event during which this observation is made
effective[x]	SΣC	1..1	dateTime	Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(CareTeam | RelatedPerson | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Patient Profile)	Who is responsible for the observation
value[x]	SΣC	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Valeur mesurée
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: JDV_J163-GlucoseUnits-ENS (required): https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method	S	0..1	CodeableConcept	How it was done Binding: Méthode de mesures de glycémie sanguine ou interstitielle (extensible)
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device	S	0..1	Reference(PhdDevice)	Dispositif utilisé pour récolter l'information. Ce dispositif peut être l'application permettant de renseigner la valeur. Si la mesure a été faite par un objet connecté (Profil PhdDevice), cette référence est obligatoire
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
component	SΣC	0..*	BackboneElement	Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x]	SΣC	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformité	ValueSet	URI
Observation.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Observation.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Bindings Additionnels But AllLanguages Binding Max
Observation.extension:MesMomentOfMeasurement.value[x]	required	JDV_J157-MomentGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J157-MomentGlucose-ENS/FHIR/JDV-J157-MomentGlucose-ENS
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	JDV_J154-TypeGlucose-ENS https://mos.esante.gouv.fr/NOS/JDV_J154-TypeGlucose-ENS/FHIR/JDV-J154-TypeGlucose-ENS
Observation.value[x].comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
Observation.value[x].code	required	JDV_J163-GlucoseUnits-ENS https://mos.esante.gouv.fr/NOS/JDV_J163-GlucoseUnits-ENS/FHIR/JDV-J163-GlucoseUnits-ENS
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	extensible	MethodeGlucoseVS https://interop.esante.gouv.fr/ig/fhir/mesures/ValueSet/method-glucose-vs from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.component.value[x]	extensible	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Détails	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

This structure is derived from observation-vitalsigns

Résumé

Mandatory: 0 element(6 nested mandatory elements)
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• FR Core Patient Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-patient)
• FR Core Encounter Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-encounter)
• FR Core Practitioner Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-practitioner)
• FR Core Organization Profile (https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-organization)
• PhdDevice (http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement
• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement
• https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days